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�� CITY OF ORONO PERMIT NO.: 2010-00609 <br /> ` 2750 KELLEY PARKWAY <br /> � ORONO, MN 55356- DATE ISSUED: 07/27/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3590 NORTH SHORE DR <br /> PIN : 08-117-23-34-0062 <br /> LEGAL DESC : N/A <br /> : LOT 000 BLOCK 002 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUATION : $ 2,300.00 <br /> NOTE: 1 CARRIER NAT GAS HEATING SYSTEM <br /> APPLICANT MECHANICAL 50.00 <br /> SABRE HEATING&AIR COND INC. STATE SURCHARGE MECH(VALUATION) 5.00 <br /> 3062 RANCHVIEW LN N <br /> PLYMOUTH, MN 55447 MAIL-IN FEE 2.00 <br /> (763)473-2267 MISC FEE 0.00 <br /> TOTAL 57.00 <br /> OWNER PAID WITH CC# 1207 <br /> FEGERS, LOU &MARILYN <br /> 3590 NORTH SHORE DR <br /> WAYZATA,MN 55391 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and does <br /> no[grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not specified herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cai}se. <br /> �_� c�� / / ����?�-�,� / / <br /> Applicant Permitee Signature Date Issued B ignature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . <br />